, Volume 22, Issue 4, pp 715–720 | Cite as

Mesh migration into an inguinal hernia sac following a laparoscopic umbilical hernia repair

  • H. B. Cunningham
  • S. Kukreja
  • S. Huerta
Case Report


According to the National Survey of Ambulatory Surgery (NSAS), 1.2 million abdominal wall hernias were repaired in 2003 [1, 2]. The NSAS showed that 66.4 and 15.1% were inguinal and umbilical hernia (UH) repairs, respectively [2]. Thus, UHs are the second most common abdominal wall hernias and together with groin and incisional hernia repairs constitute the most frequent operations performed by general surgeons [3, 4].

UHs in the obese population have been gaining attention as the incidence of obesity increases [1]. In obese patients, there is an increase in opening pressure of 0.07 mmHg proportionally to every 1.0 kg/mm2 in BMI posing an increased strain on the umbilicus leading to a higher incidence of UH [5]. Thus, the higher the BMI, the more likely an UH might develop. Obese patients with a BMI of 30–39 kg/m2 have a 2.6 odds ratio of developing an UH, which increases to 5.2 for patients with a BMI greater than 60 kg/m2 [6]. While there is compelling evidence...


Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participates were in accordance with the ethical standards of the institution and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and animal rights

The patient provided informed consent for the publication of this article.

Informed consent

Informed consent was obtained from this patient for the publication of this case.


  1. 1.
    Dabbas N, Adams K, Pearson K, Royle G (2011) Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2:5CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am 78:941–951 (v–vi) CrossRefPubMedGoogle Scholar
  3. 3.
    Rutkow IM (1997) Surgical operations in the United States. Then (1983) and now (1994). Arch Surg 132:983–990CrossRefPubMedGoogle Scholar
  4. 4.
    Rutkow IM (2003) Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 83:1045–1051 (v–vi) CrossRefPubMedGoogle Scholar
  5. 5.
    Frezza EE, Shebani KO, Robertson J, Wachtel MS (2007) Morbid obesity causes chronic increase of intraabdominal pressure. Dig Dis Sci 52:1038–1041CrossRefPubMedGoogle Scholar
  6. 6.
    Lau B, Kim H, Haigh PI, Tejirian T (2012) Obesity increases the odds of acquiring and incarcerating noninguinal abdominal wall hernias. Am Surg 78:1118–1121PubMedGoogle Scholar
  7. 7.
    Arroyo Sebastian A, Perez F, Serrano P et al (2002) Is prosthetic umbilical hernia repair bound to replace primary herniorrhaphy in the adult patient? Hernia 6:175–177CrossRefPubMedGoogle Scholar
  8. 8.
    Colon MJ, Kitamura R, Telem DA et al (2013) Laparoscopic umbilical hernia repair is the preferred approach in obese patients. Am J Surg 205:231–236CrossRefPubMedGoogle Scholar
  9. 9.
    Gonzalez R, Mason E, Duncan T et al (2003) Laparoscopic versus open umbilical hernia repair. JSLS 7:323–328PubMedPubMedCentralGoogle Scholar
  10. 10.
    Wright BE, Beckerman J, Cohen M et al (2002) Is laparoscopic umbilical hernia repair with mesh a reasonable alternative to conventional repair? Am J Surg 184:505–508 (discussion 508–509) CrossRefPubMedGoogle Scholar
  11. 11.
    Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82CrossRefPubMedGoogle Scholar
  12. 12.
    Norton C, Culver A, Mostafa G (2016) Intraluminal mesh migration after ventral hernia repair. J Gastrointest Surg 20:1920–1922CrossRefPubMedGoogle Scholar
  13. 13.
    Malik AM (2015) Intra-intestinal mesh migration presenting with faecal fistula after incisional hernia repair. J Pak Med Assoc 65:322–323PubMedGoogle Scholar
  14. 14.
    Ratajczak A, Koscinski T, Banasiewicz T et al (2013) Migration of biomaterials used in gastroenterological surgery. Pol Przegl Chir 85:377–380CrossRefPubMedGoogle Scholar
  15. 15.
    Majeski J (1998) Migration of wire mesh into the intestinal lumen causing an intestinal obstruction 30 years after repair of a ventral hernia. South Med J 91:496–498CrossRefPubMedGoogle Scholar
  16. 16.
    Falk GA, Means JR, Pryor AD (2009) A case of ventral hernia mesh migration with splenosis mimicking a gastric mass. BMJ Case Rep 2009.
  17. 17.
    Aziz F, Zaeem M (2014) Chronic abdominal pain secondary to mesh erosion into ceacum following incisional hernia repair: a case report and literature review. J Clin Med Res 6:153–155PubMedPubMedCentralGoogle Scholar
  18. 18.
    Gandhi D, Marcin S, Xin Z et al (2011) Chronic abdominal pain secondary to mesh erosion into cecum following incisional hernia repair: a case report and literature review. Ann Gastroenterol 24:321–324PubMedPubMedCentralGoogle Scholar
  19. 19.
    Millas SG, Mesar T, Patel RJ (2015) Chronic abdominal pain after ventral hernia due to mesh migration and erosion into the sigmoid colon from a distant site: a case report and review of literature. Hernia 19:849–852CrossRefPubMedGoogle Scholar
  20. 20.
    Barnes MG (2012) Irritable bowel syndrome: a “mesh” of a situation. J Am Board Fam Med 25:120–123CrossRefPubMedGoogle Scholar
  21. 21.
    Di Muria A, Formisano V, Di Carlo F et al (2007) Small bowel obstruction by mesh migration after umbilical hernia repair. Ann Ital Chir 78:59–60PubMedGoogle Scholar
  22. 22.
    Ishikawa S, Kawano T, Karashima R et al (2015) A case of mesh plug migration into the bladder 5 years after hernia repair. Surg Case Rep 1:4CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Ramakrishnan P, Bansal S, Deuri B et al (2016) A single-centre experience of relaparoscopy in complications of laparoscopic inguinal hernia repair-feasibility and outcomes. Surg Endosc 30:2308–2314CrossRefPubMedGoogle Scholar
  24. 24.
    Hamouda A, Kennedy J, Grant N et al (2010) Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia 14:317–319CrossRefPubMedGoogle Scholar
  25. 25.
    Benedetti M, Albertario S, Niebel T et al (2005) Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia 9:93–95CrossRefPubMedGoogle Scholar
  26. 26.
    Lo DJ, Bilimoria KY, Pugh CM (2008) Bowel complications after prolene hernia system (PHS) repair: a case report and review of the literature. Hernia 12:437–440CrossRefPubMedGoogle Scholar
  27. 27.
    Chuback JA, Singh RS, Sills C, Dick LS (2000) Small bowel obstruction resulting from mesh plug migration after open inguinal hernia repair. Surgery 127:475–476CrossRefPubMedGoogle Scholar
  28. 28.
    Voisard G, Feldman LS (2013) An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair. Hernia 17:673–677CrossRefPubMedGoogle Scholar
  29. 29.
    Fukudome I, Dabanaka K, Okabayashi T et al (2014) A 58-year-old woman with mesh migration into the transverse colon. Am Surg 80:E40–E41PubMedGoogle Scholar
  30. 30.
    Nelson EC, Vidovszky TJ (2011) Composite mesh migration into the sigmoid colon following ventral hernia repair. Hernia 15:101–103CrossRefPubMedGoogle Scholar
  31. 31.
    Chen MJ, Tian YF (2010) Intraperitoneal migration of a mesh plug with a small intestinal perforation: report of a case. Surg Today 40:566–568CrossRefPubMedGoogle Scholar
  32. 32.
    Horzic M, Vergles D, Cupurdija K et al (2011) Spontaneous mesh evacuation per rectum after incisional ventral hernia repair. Hernia 15:351–352CrossRefPubMedGoogle Scholar
  33. 33.
    Jeans S, Williams GL, Stephenson BM (2007) Migration after open mesh plug inguinal hernioplasty: a review of the literature. Am Surg 73:207–209PubMedGoogle Scholar
  34. 34.
    Napier T, Olson JT, Windmiller J, Treat J (2008) A long-term follow-up of a single rural surgeon’s experience with laparoscopic inguinal hernia repair. WMJ 107:136–139PubMedGoogle Scholar
  35. 35.
    Azurin DJ, Schuricht AL, Stoldt HS et al (1995) Small bowel obstruction following endoscopic extraperitoneal-preperitoneal herniorrhaphy. J Laparoendosc Surg 5:263–266CrossRefPubMedGoogle Scholar
  36. 36.
    Al-Subaie S, Al-Haddad M, Al-Yaqout W et al (2015) A case of a colocutaneous fistula: a rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair. Int J Surg Case Rep 14:26–29CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Lauwers P, Bracke B, Hubens G, Vaneerdeweg W (2003) Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg 103:513–516CrossRefPubMedGoogle Scholar

Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018

Authors and Affiliations

  1. 1.Surgical Service (112)VA North Texas Health Care SystemDallasUSA

Personalised recommendations